Montano Anna-Rae, Shellman Juliette, Malcolm Millicent
School of Public Health, Brown University, Providence, Rhode Island, USA.
Center of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Innov Aging. 2022 Jul 1;6(6):igac044. doi: 10.1093/geroni/igac044. eCollection 2022.
Interprofessional education (IPE) is necessary to train health care professionals to work collaboratively for the care of older adults. Geriatric Outreach and Training with Care! (GOT Care!) was an innovative academic training program designed to provide an IPE opportunity for health care students and faculty while providing care to community-dwelling older adults. The objectives of this program evaluation were to: (a) examine students', older adult participants', and primary care providers' (PCPs) perceptions toward their participation GOT Care! and (b) examine patient outcomes to identify program strengths and areas for improvement.
Formative and summative program evaluation methods were utilized to evaluate student, older adult participant, and provider perceptions of participating in GOT Care!. A total of 221 pharmacy, physical therapy, nursing, social work, medicine, and public health students from a single public university in northeastern United States, 38 community-dwelling older adults, and 33 PCPs were included. Means, standard deviations, and percentages were computed for survey data. The contextual data gathered from interviews and open-ended questions were analyzed using Borkan's immersion-crystallization approach to generate themes.
Overall, the students, older adults, and PCPs appreciated GOT Care!. Students reported learning about the unique challenges to geriatric care and how to communicate with other professionals. The older adults appreciated the thorough interprofessional assessment and that the students could learn from them. The PCPs noted the unique insights into their patients' health that would not present at a typical office visit.
GOT Care! leveraged academic and community partnerships to provide an IPE opportunity and care to vulnerable older adults. Positive outcomes such as older adult, student, and PCP satisfaction, and a reduction in emergency department visits support ongoing utilization and evaluation of these IPE programs.
跨专业教育(IPE)对于培养医疗保健专业人员协同照顾老年人至关重要。老年护理外展与培训计划!(GOT Care!)是一项创新的学术培训项目,旨在为医疗保健专业的学生和教师提供跨专业教育机会,同时为社区居住的老年人提供护理服务。本项目评估的目标是:(a)考察学生、老年参与者以及初级保健提供者(PCP)对参与GOT Care!的看法;(b)考察患者的治疗效果,以确定项目的优势和改进领域。
采用形成性和总结性项目评估方法,以评估学生、老年参与者和提供者对参与GOT Care!的看法。研究纳入了来自美国东北部一所公立大学的221名药学、物理治疗、护理、社会工作、医学和公共卫生专业的学生、38名社区居住的老年人以及33名初级保健提供者。对调查数据计算均值、标准差和百分比。使用博尔坎的沉浸式-结晶法分析从访谈和开放式问题中收集的背景数据,以生成主题。
总体而言,学生、老年人和初级保健提供者对GOT Care!表示赞赏。学生报告称学到了老年护理的独特挑战以及如何与其他专业人员沟通。老年人赞赏全面的跨专业评估,以及学生能向他们学习。初级保健提供者指出,通过该项目能获得对患者健康的独特见解,而这在常规门诊中无法获得。
GOT Care!利用学术和社区伙伴关系,为弱势老年人提供跨专业教育机会和护理服务。老年人、学生和初级保健提供者的满意度等积极成果,以及急诊就诊次数的减少,支持了对这些跨专业教育项目的持续利用和评估。